State of Arkansas

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

AR3628 Issued in AR

Legal business name

STATE OF ARKANSAS

Practice address

1425 Malvern Ave
Area IV Garland County Health Unit
Hot Springs, AR 71901-6316

Phone

(501) 661-2698

Fax

(501) 280-4626

NPI assigned

Jun 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Gayla Lanum, R. N.

Title

Hospice Director

Phone

(501) 661-2698

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Arkansas Department of Health Hospice 4 Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1023046992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2698",
            "fax_number": "501-280-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MALVERN AVE",
            "address_2": "AREA IV GARLAND COUNTY HEALTH UNIT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016316",
            "telephone_number": "501-661-2698",
            "fax_number": "501-280-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "LANUM",
        "authorized_official_first_name": "GAYLA",
        "authorized_official_title_or_position": "HOSPICE DIRECTOR",
        "authorized_official_telephone_number": "501-661-2698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R. N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR3628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123489747",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE HOSPICE LICENSE",
            "identifier": "AR3628",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Department of Health Hospice 4",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Benjamin Stanley, LAC
• Peggy Lee Stanley, RPH
• Robert G Stansberry, P.T.
• Sarah Stapleton
• Statco-Palmer, Inc.
• State of Arkansas
• Therese Staton
• Rachael Lynn Stauder, APRN
• Garrett Steadham
• Edward Steadman, P. T.

• Community Based Hospice Care Agency in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Community Based Hospice Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.